Survey to Help Continue 2021 Political Organizing Efforts
Please also share this survey within your circles to help collect as many responses as possible for effective organizing. Those who complete and submit the survey may be added to our email list and receive information on how to join our  Zoom meetings every 4th Saturdays @ Seven PM and to stay updated on the progress of this initiative. Together, we can formulate the winning approach and strategy.  Thanks. Aliyah K
Sign in to Google to save your progress. Learn more
Why strategize?  Because Bernie says,  “we cannot go back to business as usual”: https://twitter.com/alivelshi/status/1325485503311990785?s=24
I want to actively engage in realizing the dream of the people's movement started by Senator Bernie Sanders, such as affordable housing / healthcare / education, clean environment, and economic security for all to be able to live dignified lives (only check one box) *
Required
I have the following skills / experience (check all that apply) *
Required
I am able to make the following total time commitment per week
Clear selection
I am a member / affiliate of the following organizations *
I am exploring running for office *
Full Name (First, Last) *
Email *
Phone Number *
State / Congressional District? *
Check who represents you, if needed before completing the rest of the survey.
How satisfied are you with performance of your current elected US Congress Person?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected US Senator(s)?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected State Governor?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected State Lieutenant Governor?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected State Attorney General?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected State Senator?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected House Delegate?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected County Board Official(s)?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected School Board Official(s)?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
How satisfied are you with performance of your current elected Town Council Official(s)?
Very Satisfied (Would work to protect their seat)
Very Disappointed (Would help a challenger in a Primary)
Clear selection
Name(s) / Position(s) of your elected officials that you are not satisfied with
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy